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NPI Code Detail

MEDICARE: ALLYSON RUIZ APN

MEDICARE: ALLYSON RUIZ APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse PractitionerAPN001439NV
2363L00000XNurse Practitioner333682AZ

General Provider Information

NPI Number : 1750634176
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLYSON RUIZ APN
Provider Business Mailing Address
First Line : 2011 PINTO LN STE 200
Second Line :
City : LAS VEGAS
State : NV
Zip : 89106-4007
Country : US
Telephone Number : 702-382-3200
Fax Number : 702-382-3575
Provider Business Practice Location Address
First Line : 2011 PINTO LN
Second Line : #200
City : LAS VEGAS
State : NV
Zip : 89106-4004
Country : US
Telephone Number : 702-382-3200
Fax Number : 702-382-3575
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2012
Last Update Date : 01/21/2026

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Directions to “ ALLYSON RUIZ APN” Practice Location

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